| NPI | 1043489065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 1536) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN LAMFT 1536) |
| Enumeration Date | 2008-02-23 |
| Last Update Date | 2017-10-26 |